2020 MLK Weekend - Kids' Day Camp Registration
Please join the Chinmaya Cleveland community for our 2020 MLK Weekend Kids' Day Camp.  This year's theme will be

HEROES: PAST-PRESENT-POTENTIAL

Date: Sunday, January 19, 2019

Location: Strongsville High School, 20025 Lunn Rd, Strongsville, OH 44149

Time: 1:00 pm - 4:00 pm

Come and join a fun-filled day with Shri Vivekji and Vedanta Teachers!!
Note that Lunch will be served 12 - 1pm following Bala Vihar.

Please complete the registration form in its entirety.

Any questions can be directed to chinmayacle@gmail.com

Please visit our website for further information
www.chinmayamissioncleveland.org

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Parent/Legal Guardian Name *
Please provide full name of registering parent (2nd Parent/Guardian can be listed in next Item)
Registration for Kids Camp
Second Parent/Legal Guardian Email *
Phone Number (e.g., in this format 216-111-1111) *
Please provide a best phone number to contact you in case of emergencies
Alternate or Backup Phone Number (e.g., in this format 216-111-1111) *
Please provide an alternate/backup phone number to contact you in case of emergencies
Mailing Address *
Please provide your mailing address (House Number, Street Name, City, State - ZIP)
Number of Students Registered *
Please indicate how many students will you register here.  Please provide the Full Name, age, gender, and diet and allergy information of each person on the form.
Student #1 Full Name *
Please provide the First Name & Last Name of Student #1
Student #1 Age *
Please provide the Age of Student #1
Student #1 Gender *
Please indicate the Gender of Student #1
Student #1 Diet and Allergies *
Please indicate any Dietary Restrictions and Medical/Allergy Information
Student #2 Full Name
Please provide the First Name & Last Name of Student #2
Student #2 Age
Please provide the Age of Student #2
Student #2 Gender
Please indicate the Gender of Student #2
Clear selection
Student #2 Diet and Allergies
Please indicate any Dietary Restrictions and Medical/Allergy Information
Student #3 Full Name
Please provide the First Name & Last Name of Student #3
Student #3 Age
Please provide the Age of Student #3
Student #3 Gender
Please indicate the Gender of Student #3
Clear selection
Student #3 Diet and Allergies
Please indicate any Dietary Restrictions and Medical/Allergy Information
Student #4 Full Name
Please provide the First Name & Last Name of Student #4
Student #4 Age
Please provide the Age of Student #4
Student #4 Gender
Please indicate the Gender of Student #4
Clear selection
Student #4 Diet and Allergies
Please indicate any Dietary Restrictions and Medical/Allergy Information
Where did you hear about this workshop? *
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